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Influences that affect Mäori women breastfeeding

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Authors:
Summary:

This project aimed to identify factors influencing breastfeeding decisions among Mäori women. During 2004-2005, a diverse demographic of Mäori women and family members was selectively recruited from within a major urban area, small towns, and rural areas. Thirty women who had cared for a newborn within the previous three years were interviewed, alone or together with other family members. All participants self-identified as Mäori and were >16 years. Few women had artificially fed their babies. Most women had breastfed and their determination to breastfeed was strong. The project identified five influences that divert Mäori women from breastfeeding: interruption to a breastfeeding culture; difficulty establishing breastfeeding within the first six weeks; poor or insufficient professional support; perception of inadequate milk supply; and returning to work. These influences occur in a temporal sequence and highlight opportunities for intervention. The article also discusses factors that encourage breastfeeding.

Comment:
Breastfeeding confers significant health benefits to children. Therefore, many organisations, including WHO and MoH, call for the protection, promotion and support of breastfeeding including a ‘breastfeeding’ culture that enables women to breastfeed for the first 6 months and beyond. This study highlights the issues faced by Mäori women in their decision to breastfeed and the authors provide sites for intervention. As a clinician, I think it is also important for providers to identify and manage health issues that may make breastfeeding difficult, including postnatal depression and anaemia for mum or reflux for baby.
Reference: Breastfeed Rev. 2007;15:5-14 PMID: 17695072
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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